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A training programme to improve hip strength in persons with lower limb amputation

NOLAN B
J REHABIL MED , 2012, vol. 44, n° 3, p. 241-248
Doc n°: 156973
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.2340/16501977-0921
Descripteurs : EB3 - AMPUTATION DU MEMBRE INFERIEUR, DE32 - EXPLORATION EXAMENS BILANS - HANCHE

OBJECTIVE: To investigate the effect of a 10-week training programme on persons
with a lower limb amputation and to determine if this training is sufficient to
enable running. SUBJECTS: Seven transtibial, 8 transfemoral and 1 bilateral
amputee (all resulting from trauma, tumour or congenital) were randomly assigned
to a training (n =8) or control group (n = 8). METHODS: Isokinetic hip flexor and
extensor strength at 60 and 120 masculine/s and oxygen consumption while walking
at 1.0 m/s were tested pre- and post- a 10-week period.
The training group
followed a twice weekly hip strengthening programme, while the control group
continued with their usual activities. Running ability was determined
pre-testing, and attempted after post-testing for the training group only.
RESULTS: The training group increased hip strength and decreased oxygen
consumption. Six amputees who were previously unable to run were able to after
training. The control group decreased intact limb hip extensor strength.
CONCLUSION: The training programme is sufficient to improve hip strength and
enable running in persons with a lower limb amputation. As hip strength was
reduced in those not following the training programme, it is recommended that
strength training be undertaken regularly in order to avoid losing limb strength
following amputation.

Langue : ANGLAIS

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